Large bowel obstruction due to impaction of a gallstone

Abstract

Gallstone ileus is a complication of cholelithiasis resulting from a fistula between the gallbladder and the gastrointestinal tract. If sufficiently large, a gallstone may lodge at the narrowest part of the gastrointestinal tract, usually the terminal ileum, and present with small bowel obstruction. Here the authors present the unusual case of an 82-year-old man who developed symptoms and signs of large bowel obstruction due to an untreated gallstone, measuring 7×4.5 cm, that fistulated into the transvere colon and subsequently impacted in the sigmoid colon. An emergency laparotomy with sigmoid colotomy was undertaken to remove the obstructing gallstone, and the patient made a full recovery.

RETRACTED: Gallstone ileus without bilioenteric fistula years after bypass surgery for Crohn's disease. Case report and clues to etiology of a neglected cause of obstruction

“…A correlation between CD and GI is uncommon. Few cases are reported in the literature, but etiology remains unexplored [1] , [2] . We herein describe the case of a CD patient presenting with GI without bilioenteric fistula, and propose a detailed etiological pathway underlying such a rare but challenging complication.…”

A novel surgical approach for treatment of sigmoid gallstone ileus

“…This ranged from defunctioning sigmoid colostomy to large bowel resection and colostomy formation 3 4. Laparoscopically assisted enterolithotomy5 or extracorporeal shockwave lithotripsy6 were used less frequently.…”

Large bowel obstruction due to gallstones: an endoscopic problem?

“…Cholecystoenteric fistula is a complication of cholelithiasis resulting from a fistula between the gallbladder and the gastrointestinal tract 1. These fistulas usually occur following an acute inflammatory episode, such as acute cholecystitis, which forms adhesions between the gallbladder and commonly the duodenum, or more rarely the hepatic flexure of the colon or the stomach 2.…”